Pioneer Community Care, Inc. Dba Pioneer Lodge

LBN: Pioneer Community Care, Inc. Dba Pioneer Lodge
Pioneer Community Care, Inc. Dba Pioneer Lodge is an health care organization with primary practice located at 300 W 3Rd St , Coldwater KS 67029-7300. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Pioneer Community Care, Inc. Dba Pioneer Lodge can be contacted via phone (620) 582-2123, or through Thompson, Diana L. via phone (620) 582-2123.

Contact Information

Primary practice address
300 W 3Rd St Coldwater KS 67029-7300
Phone: (620) 582-2123
Fax: (620) 582-2461
Website:
Map and Directions
Authorized official contact:
Name: Thompson, Diana L.
Phone: (620) 582-2123

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Kansas

Profile Details

NPI number 1831172154
LBN Legal business name Pioneer Community Care, Inc. Dba Pioneer Lodge
DBA Doing business as
Authorized official Thompson, Diana L.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated Mar 29th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831172154 NPPES
Kansas MEDICAID N-017-001

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